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Benefit Illustration: Of2 UIN: 104N076V11
Benefit Illustration: Of2 UIN: 104N076V11
Name of the Second Annuitant, if any: Not Applicable Tag Line: A Non-Linked Non Participating Individual General Annuity Savings Plan
This quote is valid for a period of 10 calendar days from the date of issue. Please ensure that your proposal form is submitted at any of our offices within this duration as annuity rates change frequently.
This benefit illustration is intended to show year-wise premiums payable and benefits under the policy.
Policy Details
Policy Option Immediate Annuity - Single Life Sum Assured (in Rs.) Not Applicable
Deferment Period, if applicable Not Applicable Sum Assured on Death (at inception of the policy) (in Rs.) `49,15,198
Death Benefit Opted Yes
Premium Summary
Base Plan Riders Total Installment Premium
Installment Premium without GST (in Rs.) 49,15,198 NA 49,15,198
Installment Premium with first year GST (in Rs.) 50,03,672 NA 50,03,672
Installment Premium with GST 2nd year onwards (in Rs.) NA NA NA
Notes: Annualized Premium excludes underwriting extra premium, frequency loadings on premiums, the premiums paid towards the riders, if any, and Goods and Service Tax. Refer Sales literature for explanation of terms used in
this illustration.
I, Clyde Francis Savio Fernandes (name),have explained the premiums, and benefits under the I,.........................................................................(name), having received the information with respect
product fully to the prospect / policyholder to the above, have understood the above statement before entering into the contract.
Place:
Date: 9/30/21 Signature / OTP Confirmation Date / Thumb Impression / Date:9/30/21 Signature / OTP Confirmation Date / Thumb Impression /
Electronic Signature of Agent/ Intermediary / Official 12111109/3 Electronic Signature of Prospect/ Policyholder
0/21
This system generated benefit illustration shall be treated as signed by me.